Items filtered by date: April 2024

Tuesday, 30 April 2024 00:00

What is Sever’s Disease?

Sever's disease, also known as calcaneal apophysitis, is a common childhood condition characterized by heel pain caused by inflammation of the growth plate in the heel bone. It typically affects physically active children and adolescents, particularly those experiencing growth spurts during puberty. The condition occurs due to repetitive stress or tension on the growth plate and can be seen in active children involved in sports with running or jumping. Radiographic tests, such as X-rays or MRI scans, may be conducted to diagnose Sever's disease, ruling out other potential causes of heel pain and assessing the extent of inflammation or bone changes. If your child complains of heel pain, or if you notice them limping, it is suggested that you schedule an appointment with a podiatrist to help manage this condition.

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see James Pak, DPM from California. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.


Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their feet.

If you have any questions, please feel free to contact our office located in Anaheim, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle injuries.

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Friday, 26 April 2024 00:00

Heel Pain in the Morning?

Heel pain can negatively affect your day-to-day life. Simple activities like walking can become incredibly uncomfortable or painful due to heel pain.

Don’t live with heel pain and get treated.

Sesamoiditis is characterized by inflammation or injury to the sesamoid bones, small bones located beneath the big toe joint in the foot. It commonly affects individuals involved in activities that put repetitive pressure on the ball of the foot, such as dancers, runners, or those who wear high heels. The condition can cause pain, swelling, and difficulty walking, particularly when bearing weight on the affected foot. Diagnosis typically involves a physical examination, imaging studies like X-rays or MRI scans, and evaluation of symptoms. Treatment options may include rest, taping of the foot, orthotic devices, or corticosteroid injections. In severe cases, surgery to remove or repair the sesamoid bone may be necessary. If you have big toe pain, it is suggested that you schedule an appointment with a podiatrist for a tailored treatment plan for your specific needs.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact James Pak, DPM of California. Our doctor will treat your condition thoroughly and effectively.


Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

  • Sudden increase in activity
  • Increase in physically strenuous movement without a proper warm up or build up
  • Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

If you have any questions please feel free to contact our office located in Anaheim, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Rheumatoid arthritis, or RA, is a chronic autoimmune disorder that primarily affects the joints and causes inflammation, pain, and eventual joint damage. When RA affects the feet and ankles, it can lead to debilitating symptoms and complications. Common manifestations include pain, swelling, stiffness, and difficulty walking due to joint inflammation and damage. RA can also cause the formation of nodules, particularly in pressure areas like the soles of the feet. It may also result in foot deformities, such as bunions or hammertoes. If you have RA that is affecting your feet and ankles, it is strongly suggested that you schedule an appointment with a podiatrist. This medically trained foot doctor can provide comprehensive treatment, including interventions, such as custom-made orthotics, corticosteroid injections, and guidance on foot care techniques to manage RA symptoms and prevent complications.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact James Pak, DPM of California. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.


  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation


Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

If you have any questions please feel free to contact our office located in Anaheim, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Gout, often depicted in old-time images as a wealthy person or aristocratic figure suffering from swollen and inflamed joints, is a form of arthritis caused by the buildup of uric acid crystals in the joints. These portrayals often included exaggerated features such as red, swollen feet, and grimacing facial expressions, highlighting the intense pain associated with gout attacks. Such imagery reflected the prevailing perception that gout was a disease of excess, commonly associated with indulgence in rich foods and alcohol consumption. The accumulation of uric acid typically affects the big toe but can occur in other joints as well. Gout flares are intensely painful, often described as sudden and excruciating. While genetics can predispose individuals to gout, lifestyle factors like diet, alcohol consumption, and obesity also play a role. Treatment for gout focuses on managing pain and reducing uric acid levels through medications, lifestyle changes, and dietary modifications. Contemporary understanding of gout has evolved and a podiatrist can help in its management by diagnosing the condition, providing pain relief strategies, recommending appropriate footwear, and offering guidance on preventing future flare-ups. If you have gout, it is suggested that you partner with a podiatrist to effectively manage your symptoms for better life quality.

Gout is a painful condition that can be treated. If you are seeking treatment, contact James Pak, DPM from California. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.


  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

If you have any questions, please feel free to contact our office located in Anaheim, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 02 April 2024 00:00

Causes and Treatment of Plantar Warts

Plantar warts are benign growths caused by the human papillomavirus, or HPV, infecting the outer layer of the skin on the soles of the feet. They often appear as small, rough lesions with tiny black dots, known as wart seeds. These warts thrive in warm, moist environments such as showers, locker rooms, and swimming pools, making them common among barefoot individuals. Unfortunately, there is no singular quick-fix cure for plantar warts, as treatment methods vary and can take time to be effective. Diagnosis typically involves a visual examination by a podiatrist, sometimes supplemented by a biopsy or other tests. It is important to note that plantar warts can be mistaken for other conditions like calluses or corns. Prevention involves keeping feet clean and dry, avoiding walking barefoot in public areas, and wearing protective footwear, especially in communal spaces. If you or your child has a plantar wart, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.

Plantar warts can be very uncomfortable. If you need your feet checked, contact James Pak, DPM from California. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.


  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing


  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

If you have any questions please feel free to contact our office located in Anaheim, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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